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What Causes Small Red Patches On The Head Of The Penis?

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Posted on Wed, 17 Aug 2016
Question: Penis head has small red patches, no bumps, no ulcers. Negative for STDs, no pain, no itch. Has tried Clotrimazole and Ciclopirox Olamine cream with minimal improvements. Stress on that there is no pain and no itch. Does look a bit dry at times. Have conducted cleaning of penis (uncircumsized) for weeks, minimal improvements. Please advise.
doctor
Answered by Dr. Saddiq Ulabidin (2 hours later)
Brief Answer:
Get it examined by a dermatologist

Detailed Answer:
Hi! Welcome to health care magic!

Thanks for sharing your concerns with us.

We will try to help you in best way possible. Based on the history you have shared, herpes and other STDs are less likely as the lesion is painless. Painless lesion raises suspicion of syphilis but in such cases the lesion is mostly, painless raised chancre or ulcer and usually may not be present during early period of exposure and may ne detectable later in the course of the disease. I would suggest to have a VDRL test for that atleast. Fungal or bacterial infections of prepuce or the area of tip below the fold of uncircumcised skin folds is another possibility but it would be better to get it examined by a dermatologist at this stage as you have already tried medications for quite some time now with no significant improvement.

Hope this has answered your query, if you have any more questions, feel free to ask.

Regards.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Saddiq Ulabidin (1 hour later)
Hi Dr. Saddiq,

I don't think it is Syphilis as the symptoms does not match it at all. I will do as you recommend and seek a dermatologist, but before I do, short of STD and any related sexual diseases. Is there any other final thoughts you have regarding this?

Furthermore, I have seen that possible diabetes related to Balantis (which was something I have looked into). But I do not have any of the diabetic symptoms. Any possible thoughts on that?
doctor
Answered by Dr. Saddiq Ulabidin (12 hours later)
Brief Answer:
Yes it is least likely to be syphilis but painless chancre needs evaluation

Detailed Answer:
Hi!

As I mentioned though STD is less likely and the only possibility in your case could have been syphilis but that is also least possible keeping in view the history. However for further reassurance we could have it tested, but Since you had your STD profile done and they would have had it covered, so getting on with a dermatologist review would be the next resort as painless ulcers or lesions need to be evaluated further.

Wishing you a speedy recovery. Regards.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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What Causes Small Red Patches On The Head Of The Penis?

Brief Answer: Get it examined by a dermatologist Detailed Answer: Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. Based on the history you have shared, herpes and other STDs are less likely as the lesion is painless. Painless lesion raises suspicion of syphilis but in such cases the lesion is mostly, painless raised chancre or ulcer and usually may not be present during early period of exposure and may ne detectable later in the course of the disease. I would suggest to have a VDRL test for that atleast. Fungal or bacterial infections of prepuce or the area of tip below the fold of uncircumcised skin folds is another possibility but it would be better to get it examined by a dermatologist at this stage as you have already tried medications for quite some time now with no significant improvement. Hope this has answered your query, if you have any more questions, feel free to ask. Regards.